Malnutrition Predicts Infectious and Wound Complications Following Posterior Lumbar Spinal Fusion

2017 ◽  
pp. 165-173
Author(s):  
Ankur S. Narain ◽  
Fady Y. Hijji ◽  
Krishna T. Kudaravalli ◽  
Kelly H. Yom ◽  
Kern Singh
Keyword(s):  
Spinal Fusion ◽  
Wound Complications ◽  
Lumbar Spinal Fusion ◽  
Lumbar Spinal

Malnutrition Predicts Infectious and Wound Complications Following Posterior Lumbar Spinal Fusion

Spine ◽  
2016 ◽  
Vol 41 (21) ◽  
pp. 1693-1699 ◽  
Author(s):  
Daniel D. Bohl ◽  
Mary R. Shen ◽  
Benjamin C. Mayo ◽  
Dustin H. Massel ◽  
William W. Long ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Wound Complications ◽  
Lumbar Spinal Fusion ◽  
Lumbar Spinal

scholarly journals Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: Assessment of functional outcome following lumbar fusion

2014 ◽  
Vol 21 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Zoher Ghogawala ◽  
Daniel K. Resnick ◽  
William C. Watters ◽  
Praveen V. Mummaneni ◽  
Andrew T. Dailey ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Functional Outcome ◽  
Spinal Fusion ◽  
Lumbar Fusion ◽  
Minimum Clinically Important Difference ◽  
Degenerative Disease ◽  
Psychological State ◽  
Lumbar Spinal Fusion ◽  
Patient Reported ◽  
Lumbar Spinal

Assessment of functional patient-reported outcome following lumbar spinal fusion continues to be essential for comparing the effectiveness of different treatments for patients presenting with degenerative disease of the lumbar spine. When assessing functional outcome in patients being treated with lumbar spinal fusion, a reliable, valid, and responsive outcomes instrument such as the Oswestry Disability Index should be used. The SF-36 and the SF-12 have emerged as dominant measures of general health-related quality of life. Research has established the minimum clinically important difference for major functional outcomes measures, and this should be considered when assessing clinical outcome. The results of recent studies suggest that a patient's pretreatment psychological state is a major independent variable that affects the ability to detect change in functional outcome.

scholarly journals Are the Roland Morris Disability Questionnaire and Oswestry Disability Index interchangeable in patients after lumbar spinal fusion?

2021 ◽  
pp. 1-7
Author(s):  
R.F.M.R. Kersten ◽  
J. Fikkers ◽  
N. Wolterbeek ◽  
F.C. Öner ◽  
S.M. van Gaalen
Keyword(s):  
Back Pain ◽  
Spinal Fusion ◽  
Outcome Measures ◽  
Oswestry Disability Index ◽  
Roland Morris Disability Questionnaire ◽  
Leg Pain ◽  
Lumbar Spinal Fusion ◽  
Patient Reported ◽  
Disability Questionnaire ◽  
Lumbar Spinal

BACKGROUND: Low back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the different scoring systems of these outcome measures makes comparison of treatment results difficult. OBJECTIVE: Aim of this study was to determine if the RMDQ and ODI could be used exchangeable by assessing the correlation and comparing different measurement properties between the questionnaires. METHODS: Clinical data from patients who participated in a multicenter RCT with 2 year follow-up after lumbar spinal fusion were used. Outcome measures were the RMDQ, ODI, Short Form 36 – Health Survey (SF-36), leg pain and back pain measured on a 0–100 mm visual analogue scale (VAS). Cronbach’s alpha coefficients, Spearman correlation coefficients, multiple regression analysis and Bland-Altman plots were calculated. RESULTS: three hundred and seventy-six completed questionnaires filled out by 87 patients were used. The ODI and RMDQ had both a good level of internal consistency. There was a very strong correlation between the RMDQ and the ODI (r= 0.87; p< 0.001), and between the VAS and both the ODI and RMDQ. However, the Bland-Altman plot indicated bad agreement between the ODI and RMDQ. CONCLUSIONS: The RMDQ and ODI cannot be used interchangeably, nor is there a possibility of converting the score from one questionnaire to the other. However, leg pain and back pain seemed to be predictors for both the ODI and the RMDQ.

The Effect of Early Initiation of Rehabilitation After Lumbar Spinal Fusion

Spine ◽  
2012 ◽  
Vol 37 (21) ◽  
pp. 1803-1809 ◽  
Author(s):  
Lisa G. Oestergaard ◽  
Claus V. Nielsen ◽  
Cody E. Bünger ◽  
Rikke Sogaard ◽  
Soeren Fruensgaard ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Early Initiation ◽  
Lumbar Spinal Fusion ◽  
Lumbar Spinal

153. Comparison of opioid use in multilevel lumbar spinal fusion patients before and after implementation of an institutional opioid minimizing program

2021 ◽  
Vol 21 (9) ◽  
pp. S76-S77
Author(s):  
Marie-Jacqueline Reisener ◽  
Alexander P. Hughes ◽  
Ichiro Okano ◽  
Jiaqi Zhu ◽  
Artine Arzani ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Opioid Use ◽  
Before And After ◽  
Lumbar Spinal

scholarly journals Nonoperative care to manage sacroiliac joint disruption and degenerative sacroiliitis: high costs and medical resource utilization in the United States Medicare population

2014 ◽  
Vol 20 (4) ◽  
pp. 354-363 ◽  
Author(s):  
Stacey J. Ackerman ◽  
David W. Polly ◽  
Tyler Knight ◽  
Tim Holt ◽  
John Cummings
Keyword(s):  
Spinal Fusion ◽  
Medicare Reimbursement ◽  
Medicare Beneficiaries ◽  
Lumbar Spinal Fusion ◽  
Medical Resource ◽  
Diagnosis Codes ◽  
Medical Resource Utilization ◽  
Lumbar Spinal ◽  
Si Joint ◽  
Joint Disruption

Object Low-back pain (LBP) is highly prevalent among older adults, and the cost to treat the US Medicare population is substantial. Recent US health care reform legislation focuses on improving quality of care and reducing costs. The sacroiliac (SI) joint is a recognized generator of LBP, but treatments traditionally have included either nonoperative medical management or open SI joint fusion, which has a high rate of complications. New minimally invasive technologies have been developed to treat SI joint disruption and degenerative sacroiliitis, so it is important to understand the current cost impact of nonoperative care to the Medicare program. The objective of this study was to evaluate the medical resource use and associated Medicare reimbursement for patients managed with nonoperative care for degenerative sacroiliitis/SI joint disruption. Methods A retrospective study was conducted using claim-level data from the Medicare 5% Standard Analytical Files (SAFs) for the years 2005–2010. Included were patients with a primary ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification) diagnosis code for degenerative sacroiliitis/SI joint disruption (ICD-9-CM diagnosis codes 720.2, 724.6, 739.4, 846.9, or 847.3) with continuous enrollment for at least 1 year before and 5 years after diagnosis. Claims attributable to degenerative sacroiliitis/SI joint disruption were identified using ICD-9-CM diagnosis codes (claims with a primary or secondary ICD-9-CM diagnosis code of 71x.xx, 72x.xx, 73x.xx, or 84x.xx), and the 5-year medical resource use and Medicare reimbursement (in 2012 US dollars) were tabulated across practice settings. A subgroup analysis was performed among patients who underwent lumbar spinal fusion. Results Among all Medicare patients with degenerative sacroiliitis or SI joint disruption (n = 14,552), the mean cumulative 5-year direct medical costs attributable to degenerative sacroiliitis/SI joint disruption was $18,527 ± $28,285 (± SD) per patient. The cumulative 5-year cost was $63,913 ± $46,870 per patient among the subgroup of patients who underwent lumbar spinal fusion (n = 538 [3.7%]) and $16,769 ± $25,753 per patient among the subgroup of patients who had not undergone lumbar spinal fusion (n = 14,014 [96.3%]). For the total population, the largest proportion of cumulative 5-year costs was due to inpatient hospitalization (42.1%), outpatient physician office (20.6%), and hospital outpatient costs (14.9%). The estimated cumulative 5-year Medicare reimbursement across practice settings attributable to SI joint disruption or degenerative sacroiliitis is approximately $270 million among these 14,552 Medicare beneficiaries ($18,527 per patient). Conclusions In patients who suffer from LBP due to SI joint disruption or degenerative sacroiliitis, this retrospective Medicare claims data analysis demonstrates that nonoperative care is associated with substantial costs and medical resource utilization. The economic burden of SI joint disruption and degenerative sacroiliitis among Medicare beneficiaries in the US is substantial and highlights the need for more cost-effective therapies to treat this condition and reduce health care expenditures.

Motion capture evaluation of sagittal spino-pelvic biomechanics after lumbar spinal fusion

2022 ◽  
Author(s):  
Nickolas Boroda ◽  
Sonia Pradhan ◽  
Craig William Forsthoefel ◽  
Steven M. Mardjetko ◽  
Jad Bou Monsef ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Motion Capture ◽  
Lumbar Spinal Fusion ◽  
Lumbar Spinal
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